| NPI | 1164561981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw01672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI 00374) |
| 104100000X Social Worker (Licence: MA 113107) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-07-23 |